Cholecystitis Acute

Cholecystitis Acute ukudumba ngesiquphe kunye noburhalarhume. Kubangela iintlungu ezinzima zesisu.

I-gallbladder lilungu elihlala ngaphantsi kwesibindi. Igcina i-bile, eveliswa esibindini. Umzimba wakho usebenzisa i-bile ukwetyisa amafutha kumathumbu amancinci.

I-cholecystitis ebukhali yenzeka xa inyongo ibambeke kwinyongo. Oku kuhlala kusenzeka kuba ilitye lenyongo livimba umbhobho wecystic, ityhubhu ehamba ngayo inyongo ingena iphume ngaphandle kwenyongo. Xa ilitye livimba le ndlela, i-bile iyakha, ibangele ukucaphuka noxinzelelo kwinyongo. Oku kunokukhokelela kudumba kunye nosulelo.

Ezinye izizathu zibandakanya:

• Izifo ezimandundu, ezinjenge-HIV okanye isifo seswekile
• Amathumba e-gallbladder (anqabile)

Abanye abantu basemngciphekweni wokuba nenyongo. Izinto zomngcipheko zibandakanya:

• Ukuba ngumfazi
• Ukukhulelwa
• Unyango lweHormone
• Ukwaluphala
• Ukuba ngumthonyama waseMelika okanye iSpanish
• Ukutyeba kakhulu
• Ukuphulukana okanye ukutyeba ngokukhawuleza
• Seswekile

Ngamanye amaxesha, i-bile duct iyavalwa okwethutyana. Xa oku kusenzeka rhoqo, kunokukhokelela kwikholecystitis yexesha elide (engapheliyo). Oku kukudumba kunye nokucaphuka okuqhubeka ngokuhamba kwexesha. Ekugqibeleni, i-gallbladder iyaqina kwaye ibenzima. Ayigcini kwaye ikhuphe i-bile njengoko ibenzile.

Olona phawu luphambili ziintlungu kwicala lasekunene lasekunene okanye embindini wesisu sakho oqhele ukuhlala ubuncinci imizuzu engama-30. Unokuziva:

• Sharp, cramping, okanye iintlungu ezingathandekiyo
• Intlungu eqinileyo
• Intlungu esasazeka emqolo wakho okanye ngaphantsi kwegxalaba lakho lasekunene

Ezinye iimpawu ezinokuthi zenzeke zibandakanya:

• Izitulo zombala wodongwe
• Ifiva
• Isicaphucaphu nokugabha
• Ukuthungwa kwesikhumba kunye nabamhlophe bamehlo (i-jaundice)

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho. Ngexesha lovavanyo lomzimba, uya kuba neentlungu xa umboneleli echukumisa isisu sakho.

Umboneleli wakho unoku-odola olu vavanyo lwegazi lulandelayo:

• Amylase kunye lipase
• Bilirubin
• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lomsebenzi wesibindi

Ukujonga iimvavanyo kunokubonisa i-gallstones okanye ukudumba. Unokuba novavanyo olunye okanye nangaphezulu:

• I-ultrasound yesisu
• Ukuskena kwe-CT esiswini okanye ukuskena kweMRI
• X-ray esiswini
• I-cholecystogram yomlomo
• Ukususwa kwe-gallbladder radionuclide scan

Ukuba unesifo esibuhlungu esiswini, khangela unyango ngokukhawuleza.

Kwigumbi likaxakeka, uya kunikwa ulwelo ngomthambo. Unokunikwa i-antibiotics ukulwa nosulelo.

I-cholecystitis inokucoca yodwa. Nangona kunjalo, ukuba unamatye enyongo, kuya kufuneka utyando ukuze ususe inyongo yakho.

Unyango lwe-Nonsurgical lubandakanya:

• Iintsholongwane ozithatha ekhaya ukulwa nosulelo
• Ukutya okunamafutha asezantsi (ukuba uyakwazi ukutya)
• Amayeza entlungu

Unokufuna utyando olungxamisekileyo ukuba uneengxaki ezinje:

• I-Gangrene (ukufa kwezicubu) ze-gallbladder
• Ukugqobhoza (umngxunya owenza udonga lwenyongo)
• I-Pancreatitis (i-pancreas evuthayo)
• Ukuthintela ukuqhubekeka kwe-bile duct
• Ukudumba kwendlela eqhelekileyo yenyongo

Ukuba ugula kakhulu, ityhubhu inokufakwa esiswini sakho kwi-gallbladder yakho ukuze uyikhuphe. Nje ukuba uzive ungcono, umboneleli wakho unokucebisa ukuba wenze utyando.

Uninzi lwabantu abenziwe utyando lokususa i-gallbladder yabo bachacha ngokupheleleyo.

Ukunganyangwa, i-cholecystitis inokukhokelela nakweyiphi na kwezi ngxaki zempilo zilandelayo:

• I-Empyema (ubofu kwi-gallbladder)
• Uqhekeko
• Ukwenzakala kwimibhobho yenyongo ehambisa isibindi (inokwenzeka emva kotyando lwenyongo)
• Ipancreatitis
• Ukugqobhoza
• I-Peritonitis (ukudumba kwebala lesisu)

Fowunela umnikezeli wakho ukuba unayo:

• Intlungu yesisu engapheliyo
• Iimpawu zokubuya kwecholecystitis

Ukususa i-gallbladder kunye ne-gallstones kuya kuthintela olunye uhlaselo.

Icholecystitis - etsolo; Gallstones - cholecystitis etsolo

• Ukususwa kwe-gallbladder-laparoscopic-discharge
• Ukususwa kwenyongo - ukuvulwa okuvulekileyo
• Gallstones - ukukhutshwa

• Inkqubo yokwetyisa
• Cholecystitis, uvavanyo lwe-CT
• Cholecystitis - cholangiogram
• ICholecystolithiasis
• Amatye egall, cholangiogram
• Ukususwa kwerbbladder-Uthotho

IGlasgow RE, iMulvihill SJ. Unyango lwesifo senyongo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 66.

UJackson PG, uEvans SRT. Inkqubo yeBiliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 54.

I-Wang DQ-H, Afdhal NH. Isifo seGallstone. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.